Youth Winter Retreat Registration

    PLEASE FILL OUT A SEPARATE REGISTRATION FORM FOR EACH STUDENT ATTENDING THE RETREAT. IF YOU ARE AN ADULT ATTENDING, PLEASE DO A SEPARATE REGISTRATION FOR YOURSELF AS WELL, LISTING YOURSELF AS THE STUDENT AND PARENT AND LIST YOUR GRADE AS "LEADER."

    Parent's Full Name: (required)

    Student's Full Name: (required)

    Student's School: (required)

    Student's Grade: (required)

    Parent Email Address: (required)

    Parent Mobile Number: (required)

    Select T-Shirt Size:
    Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXL

    Please note any food allergies:

    Additional Comments

    Cost is $140.

    Please make your check payable to "Eastwood Church" with the memo line "Winter Retreat" and place in the offering box, give to Jonathan Barrett, or drop it by the church office.

    PLEASE FILL OUT A SEPARATE REGISTRATION FORM FOR EACH STUDENT ATTENDING THE RETREAT. IF YOU ARE AN ADULT ATTENDING, PLEASE DO A SEPARATE REGISTRATION FOR YOURSELF AS WELL, LISTING YOURSELF AS THE STUDENT AND PARENT AND LIST YOUR GRADE AS "LEADER."